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it sounds like youamp;#39;ve had a some sort of procedure that permanently sterilized you and also an endometrial ablation in the past both of which should make it so that you canamp;#39;t have any more children but as we know there are exceptions to all rules and Iamp;#39;ve been Iamp;#39;m a labor and delivery nurse and Iamp;#39;ve seen women have babies when there was you know logically speaking no chance that they could have so thereamp;#39;s always a small percentage of people who get pregnant after permanent sterilization procedures you mentioned that youamp;#39;re normally like clockwork and youamp;#39;ve missed your last period and it would be best for you to either take a pregnancy test or talk with your doctor and if the pregnancy test comes back negative and you still continue not to not have a period then again this is a reason to talk with your doctor because they can they can ask you more specific questions about your cycles take your health history into account a